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1932635125 NPI number — H.E.A.L. PSYCHOTHERAPY SERVICES LLC

NPI Number: 1932635125
Health Care Provider/Practitioner: H.E.A.L. PSYCHOTHERAPY SERVICES LLC

Information about “1932635125” NPI (H.E.A.L. PSYCHOTHERAPY SERVICES LLC) exists in 1932635125 in HTML format HTML  |  1932635125 in plain Text format TXT  |  1932635125 in PDF (Portable Document Format) PDF  |  1932635125 in an XML format XML  formats.

NPI Number : 1932635125 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932635125",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "H.E.A.L. PSYCHOTHERAPY SERVICES LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 ALHAMBRA PLZ PH FLOOR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORAL GABLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33134-5216",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-749-2275",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 ALHAMBRA PLZ PH FLOOR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CORAL GABLES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33134-5216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-749-2275",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2017",
    "LastUpdateDate": "03/20/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LAKE",
    "AuthorizedOfficialFirstName": "MICHELLE",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "BUSINESS OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "786-749-2275",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "MH 10806",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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